Doctor profile · Federal record
Dr. Kelly Moore, DDS
General Practice Dentistry · Rockford, IL
- NPI 1396847216
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
6075 Vantage Pl
Rockford, IL 611075905
(815) 399-9040
fax (815) 399-9336 - Mailing address
-
404 James Ave
Rockford, IL 611074626
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396847216. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 1 | $14.76 | |
| Ultradent Products INC | 1 | $7.07 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
89
Patients
58
Total drug cost
$242
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 72 | 46 | $132 |
| Clindamycin Hcl | Generic | 17 | 12 | $110 |
Frequently asked questions
What is Dr. Kelly Moore's medical specialty?
Dr. Kelly Moore practices General Practice Dentistry in Rockford, IL.
Where does Dr. Kelly Moore practice?
Dr. Kelly Moore practices at 6075 Vantage Pl, Rockford, IL 611075905. Office phone: 8153999040.
What is Dr. Kelly Moore's NPI?
Dr. Kelly Moore's National Provider Identifier (NPI) is 1396847216, issued by NPPES.